You are on page 1of 3

Universitas Diponegoro

Fakultas Kesehatan masyarakat


Program Magister Ilmu Kesehatan masyarakat
Konsentrasi Kesehatan Ibu dan Anak
2015

ABSTRAK

Juvinda Wahyu Puspadini


Faktor-Faktor yang Mempengaruhi Kinerja Bidan Puskesmas dalam
Pengelolaan Dini Hipertensi pada Kehamilan di Kabupaten Jember
Tahun 2014
xii + 149 Halaman + 29 tabel + 3 Gambar + 6 Lampiran

Preeklampsia adalah penyebab utama kematian ibu di Kabupaten Jember


(41,9%; 58,3%; 39%) dalam tiga tahun terakhir. Preeklampsia dapat ditangani
dengan segera bila bidan dapat mengenali dan menemukan secara dini
hipertensi pada kehamilan. Tujuan penelitian ini adalah untuk mengalisis
faktor-faktor yang mempengaruhi kinerja bidan puskesmas dalam pengelolaan
dini hipertensi pada kehamilan di Kabupaten Jember.
Jenis penelitian ini adalah survey analitik dengan design cross sectional.
Terdiri dari Variabel bebas (pengetahuan, pengalaman, beban kerja,
ketersediaan alat dan sikap bidan) dan variabel terikat (kinerja bidan
puskesmas). Jumlah sampel 64 bidan puskesmas yang berada di 10
Puskesmas dengan angka Kejadiaan hipertensi/preeklampsia yang tinggi.
Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner
terstruktur yang telah diuji validitas dan reliabilitas. Analisis bivariat dengan uji
chi-square dan analisis multivariat dengan uji regresi logistik.
Hasil penelitian ini menunjukkan bahwa sebagian besar responden
memiliki kinerja kurang (59,4%), pengetahuan kurang (60,9%), pengalaman
kerja kurang (65,6%), beban kerja berat ( 56,3%), ketersediaan alat kurang
(53,1%), dan sikap bidan kurang (42,2%) dalam pengelolaan dini hipertensi
pada kehamilan. Ada hubungan positif antara pengetahuan (p=0,0001),
pengalaman (p=0,0001), sikap bidan (p=0,001) dan ada hubungan negatif
beban kerja (p=0,0001) sedangkan ketersediaan alat tidak ada hubungan
(p=0,503) dengan kinerja bidan puskesmas dalam pengelolaan dini hipertensi
pada kehamilan. Ada pengaruh bersama-sama variabel pengetahuan (Exp B=
8,052; p=0,006) dan pengalaman kerja (Exp B= 7,377; p=0,010) terhadap
kinerja bidan puskesmas dalam pengelolaan dini hipertensi kehamilan di
Kabupaten Jember.
Disarankan kepada Dinas kesehatan beserta pihak puskesmas dan IBI
untuk mengadakan pelatihan dan workshop kepada bidan puskesmas
mengenai penulisan diagnosa, pendokumentasian, pengkajian masalah dan
pemecahan masalah, penanganan rujukan dalam pengelolaan dini hipertensi
kehamilan.

Kata kunci : Kinerja, Bidan Puskesmas, Pengelolaan, Hipertensi


kehamilan
Referensi : 48 (1982-2013)
2
Diponegoro University
Faculty of Public Health
Masters Program in Public Health
Majoring in Maternal and Child Health
2015

ABSTRACT

Juvinda Wahyu Puspadini


Factors Influencing Work Performance of Health Centre Midwife in
Conducting Early Management of Hypertension in Pregnancy in District
of Jember in 2014
xii + 149 pages + 29 tables + 3 figures + 6 enclosures

Preeclampsia (PE) was the main cause of maternal mortality in District


of Jember in the past three years (41.9%; 58.3%; and 39% respectively). PE
can be handled immediately if a midwife can recognise and diagnose
hypertension in pregnancy as quick as possible. The aim of this study was to
analyse factors influencing work performance of health centre midwife in
conducting early management of hypertension in pregnancy in District of
Jember.
This was an analytical survey using cross-sectional approach.
Independent variables consisted of knowledge, experience, workload,
availability of equipment, and midwifes attitude. On the other hand, work
performance of health centre midwife was as a dependent variable. Number of
samples were 64 midwives working at 10 health centres with high cases of
hypertension/PE. Data were collected by interviewing using a structured
questionnaire which had been tested for validity and reliability. Furthermore,
data were analysed using bivariate analysis (chi-square test) and multivariate
analysis (Logistic Regression test).
The results of this study showed that most of the respondents had low
work performance (59.4%), low knowledge (60.9%), lack of work experience
(65.6%), heavy workload (56.3%), lack of equipment (53.1%), dan negative
midwifes attitude (42.2%) in conducting early management of hypertension in
pregnancy. Variables of knowledge (p=0.0001), work experience (p=0.0001),
midwifes attitude (p=0.001) significantly positively related to the work
performance. Meanwhile, the variable of workload significantly negatively
related to the work performance (p=0.0001). In contrast, the variable of
availability of equipment was not statistically significant (p=0.503). Variables of
knowledge (Exp B= 8.052; p=0.006) and work experience (Exp B= 7.377;
p=0.010) jointly influenced the work performance of health centre midwife in
conducting early management of hypertension in pregnancy in District of
Jember.
District Health Office, Health Centres, and Indonesian Midwives
Association need to conduct training and workshop to midwives working at
health centres regarding writing a diagnosis, documenting, analysing and
solving a problem, and handling referred patients in early management of
hypertension in pregnancy.

Key Words : Work Performance, Health Centre Midwife, Management,


Hypertension in Pregnancy
Bibliography : 48 (1982-2013)